Sampeter Liech Odera, MD, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in San Francisco, California. His current practice location is
Ucsf Oral And Maxillofacial Surgery, 513 Parnassus S738, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at
(415) 476-3242.
Sampeter Liech Odera is licensed to practice in California (license number OMS106) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073871448.
Healthcare Provider's Profile
| Full Name | Sampeter Liech Odera |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | Ucsf Oral And Maxillofacial Surgery, San Francisco, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073871448
- Provider Enumeration Date: 04/24/2012
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749411056
- Enrollment ID: I20150721002215
Medical Identifiers
Medical identifiers for Sampeter Liech Odera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073871448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN1856460 (Massachusetts) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | A127360 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | OMS106 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sampeter Liech Odera allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
|---|
| Entity Name | University Of California Sfgh Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154396208 PECOS PAC ID: 5496668410 Enrollment ID: O20031113000632 |
|---|
| Entity Name | Ucsf Dept Of Surgery |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
|---|
| Entity Name | Ucsf Oral & Maxillofacial Surgery |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1679652598 PECOS PAC ID: 1254223126 Enrollment ID: O20040325001597 |
|---|
| Entity Name | Ucsf Medical Group Business Services |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sampeter Liech Odera is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sampeter Liech Odera, MD, DMD Ucsf Oral And Maxillofacial Surgery, 513 Parnassus S738, San Francisco, CA 94143-0001 Ph: (415) 476-3242 | Sampeter Liech Odera, MD, DMD Ucsf Oral And Maxillofacial Surgery, 513 Parnassus S738, San Francisco, CA 94143-0001 Ph: (415) 476-3242 |
Reviews and Comments